Pmhnp-Bc; Nurse Practioner

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Hybrid - telepsychiatry from an approved Hawaii-based home office and/or in-person clinical care at Ohana Psych's Honolulu office. Schedule mix determined by clinical need and assignment.

You will provide direct psychiatric care to children, adolescents, and/or adults across Hawaii in a hybrid model: a high-volume telepsychiatry practice paired with in-person clinical care at Ohana Psych sites. You will carry a defined panel, manage acute and chronic psychiatric conditions, prescribe and monitor psychotropic medications including controlled substances, and coordinate care with primary care, therapy, and community resources. Strong autonomy, structured workflows, and full back-office support let you focus on patient care.

Ohana Psych is a clinician-led behavioral health organization serving patients across the Hawaiian Islands, primarily through telepsychiatry with in-person care as clinically indicated. The organization is part of a broader Ohana group expanding rural access to integrated mental health and primary care in Hawaii.

The duties below are considered essential functions of this position under the Americans with Disabilities Act (ADA). Reasonable accommodations will be considered for qualified individuals with disabilities.

• Conduct comprehensive psychiatric evaluations, diagnostic assessments, and treatment planning for assigned patients via telepsychiatry and in person.
• Prescribe, titrate, and monitor psychotropic medications, including Schedule II-V controlled substances, in accordance with Hawaii and federal law.
• Provide medication management follow-up visits, brief supportive psychotherapy when clinically indicated, and crisis assessment as needed.
• Perform in-person clinical activities as assigned, which may include physical examination components relevant to psychiatric care (e.g., AIMS), in-office injectable administration (e.g., long-acting injectable antipsychotics), and direct patient assessment.
• Document all patient encounters in the electronic health record within established timeliness standards (typically same-day close).
• Submit complete, accurate charge information to support timely billing and clean-claim performance.
• Coordinate care with primary care providers, therapists, schools, hospitals, and community agencies; respond to clinical messages and refills within posted turnaround times.
• Maintain compliance with credentialing, payer enrollment (Medicare, Med-QUEST, HMSA, Aloha Care, 'Ohana/Well Care, UHC, commercial), CAQH attestation, and DEA registration.
• Participate in peer review, case consultation, quality improvement, and continuing medical education activities.
• Comply with all Ohana policies, HIPAA, 42 CFR Part 2 (where applicable), and state and federal regulations governing the practice of nursing and prescribing.
• Performs other duties as assigned consistent with the role and within scope of practice.

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited psychiatric mental health nurse practitioner program.

• Current unrestricted APRN license with prescriptive authority in the State of Hawaii (required prior to start; multi-state RN licensure acceptable as a base).
• Board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) through ANCC.
• Current, unrestricted DEA registration covering Schedules II-V (Hawaii-specific DEA required).
• Current BLS certification (AHA or equivalent).
• CAQH profile current and re-attested per payer requirements.
• No exclusions on OIG LEIE, SAM.gov, or Medicare/Medicaid debarment lists.

Minimum 1 year of post-licensure psychiatric experience preferred; new graduates considered with strong clinical references and demonstrated psychiatric rotation experience.

• Clinical competence across mood, anxiety, psychotic, trauma, ADHD, and substance use disorders.
• Comfort with telepsychiatry workflows, video documentation, and asynchronous patient messaging.
• Sound judgment in controlled-substance prescribing, including stimulants and benzodiazepines.
• Accurate, timely documentation that supports medical necessity and CPT/E&M coding.
• Professional, calm communication with patients in distress and with multidisciplinary teams.

• Experience in high-volume outpatient or telepsychiatry settings.
• Experience with Practice Fusion, Tebra, or comparable cloud-based EHRs.
• Bilingual (Hawaiian, Ilocano, Tagalog, Japanese, or other Hawaii-relevant languages).
• Child/adolescent psychiatric experience.

• Prolonged sitting at a workstation, 6-10 hours per shift during telepsychiatry blocks.
• Standing, walking, and direct patient contact during in-person clinical blocks (4-8 hours per…